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      • KCI등재

        인권의 불가분성, 상호의존성, 상호연관성 - 건강권을 중심으로 -

        손정인,김창엽 한국보건사회학회 2016 보건과 사회과학 Vol.0 No.43

        건강권에 대한 이해와 그 달성을 위해 인권의 불가분성‧·상호의존성·상호연관성 원칙을 인지할필요가 있다. 이 논문에서는 이들 원칙의 개념을 검토하고 이를 바탕으로 1990-2014년의 국내 건강권 논문에서 언급된 건강권에 대한 이해 현황과 건강권과 여타 인권·권리 사이의 관계를 분석한다. 이를 위해 한국교육학술정보원의 학술연구정보서비스(RISS)를 통해 선정한 386개의 석·박사학위논문과 학술지논문를 대상으로 내용분석을 수행하였다. 분석결과, 인권의 불가분성·상호의존성·상호연관성 원칙 자체를 언급한 건강권 논문은 3.1%로 미미했던 반면, 건강권과 타 인권·권리 사이의관계를 언급한 논문은 66.3%로 나타났다. 인권의 불가분성 측면에서 기존의 건강권 개념 이해는 사회권에 치우친 것으로 나타났고 인권의 상호의존성·상호연관성 측면에서 건강권과 타 인권·권리사이의 관계는 다차원적이고 복잡한 관계로 나타났다. 이는 한국적 상황에서의 인권에 배태된 건강권의 모습이라 할 수 있다. 향후 한국 사회의 건강권 개념 발전을 위해 건강권 개념 이해에 인권의 불가분성 원칙을 제대로 반영할 필요가 있고, 건강권 달성을 위해 인권에 배태된 건강권을 유념하면서인권의 실현 과정, 시민참여, 귀납적 접근방식, 인권영향평가, 타 영역과의 협력과 거버넌스에 한층더 주목할 필요가 있다. For the understanding and achievement of the right to health, it needs to recognize the principle of the indivisibility, interdependence and interrelatedness of human rights. This study seeks to review the conceptions, and to investigate the previous domestic understanding of the right to health, and the relations between the right to health and other human rights. A content analysis was employed to analyse the 386 Korean dissertations and journal articles relating to the right to health from 1990 to 2014. As a result, while only a few documents mention the principle of human rights, 66.3% of all documents mention the relations between the right to health and other human rights. In terms of the indivisibility of human rights, Korean scholarly understanding of the right to health is discouraging because of leaning toward economic, social, and cultural rights. In terms of the indivisibility, interdependence and interrelatedness of human rights, the relations between the right to health and other human rights mentioned by Korean scholarly literature have multiple dimensions and complexity, yet, it is the very phenomenon that the right to health is embedded in human rights in Korean context. In future, the indivisibility principle needs to be properly reflected in understanding the meaning of the right to health, and we need to pay more attention to realization process, public participation, inductive approach, human rights impact assessment, governance while recognizing the right to health embedded in human rights.

      • KCI등재
      • KCI등재

        정신과 의무기록 작성지침 개발 및 적용 후 입원의무기록의 질적 변화 비교 연구

        손정인,강시현,김창윤 대한신경정신의학회 2009 신경정신의학 Vol.48 No.5

        Objectives: Medical records are used to store and communicate information about patient treatment. Nowadays, the problem oriented medical record (POMR) is the most frequently used method for medical records. The POMR has the advantage of evaluating the course of treatment;however, it is also criticized for focusing on just symptoms and signs. We propose new guidelines for psychiatric medical records based on a modified POMR. Methods: We organized a research team of psychiatrists and psychiatric residents and, held weekly research meetings from March 2005 until May 2006. Under close psychiatric chart review, we found several problems with the POMR system, and based on these findings, we discussed various ways of modifying it. Results: We propose the following AMC psychiatric medical record guidelines:1) Problem lists should be classified into seven categories:psychiatric symptoms, function, risk, environment, special treatment, drug side effects, and medical problems. Additionally, treatment course should be described accordingly. 2) Spontaneous reports by patients should be classified as subjective information, and any contents explored by the clinician, as objective information. Brief scales should be included for the quantitative description of symptoms. 3) Assessment should include symptom severity, treatment response, compliance, and suicidal or violent risk at evaluation point. 4) Specific management strategies such as rationale for dosage adjustment, detailed psychotherapeutic intervention, and psychoeducation should be described in the plan. Conclusion: This is one of a few studies proposing guidelines for psychiatric medical records. The application of these will improve the quality of medical records and it is hoped that such guidelines will be used broadly. Objectives: Medical records are used to store and communicate information about patient treatment. Nowadays, the problem oriented medical record (POMR) is the most frequently used method for medical records. The POMR has the advantage of evaluating the course of treatment;however, it is also criticized for focusing on just symptoms and signs. We propose new guidelines for psychiatric medical records based on a modified POMR. Methods: We organized a research team of psychiatrists and psychiatric residents and, held weekly research meetings from March 2005 until May 2006. Under close psychiatric chart review, we found several problems with the POMR system, and based on these findings, we discussed various ways of modifying it. Results: We propose the following AMC psychiatric medical record guidelines:1) Problem lists should be classified into seven categories:psychiatric symptoms, function, risk, environment, special treatment, drug side effects, and medical problems. Additionally, treatment course should be described accordingly. 2) Spontaneous reports by patients should be classified as subjective information, and any contents explored by the clinician, as objective information. Brief scales should be included for the quantitative description of symptoms. 3) Assessment should include symptom severity, treatment response, compliance, and suicidal or violent risk at evaluation point. 4) Specific management strategies such as rationale for dosage adjustment, detailed psychotherapeutic intervention, and psychoeducation should be described in the plan. Conclusion: This is one of a few studies proposing guidelines for psychiatric medical records. The application of these will improve the quality of medical records and it is hoped that such guidelines will be used broadly.

      • KCI등재
      • KCI등재
      • KCI등재

        Modification of Electrical and Piezoelectric Properties of ZnO Nanorods based on Arsenic Incorporation via Low Temperature Spin-on-Dopant Method

        손정인,차성남,김종민,백성호,김재현,장재은,정용일,박일규 한국물리학회 2015 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.67 No.5

        We report on the control of the electrical and the piezoelectric properties of ZnO nanorods (NRs) by incorporation of arsenic (As) elements via a low-temperature processed spin-on-dopant (SOD) method. The structural investigations for the SOD-treated ZnO NRs at different temperatures show a negligible change in morphology at temperatures up to 550 C and melting of the ZnO NRs at 600 C. Low-temperature photoluminescence (PL) spectra show gradual development of acceptor-related emission peaks with increasing SOD treatment temperature from 450 to 550 C, which indicates the successful incorporation of As atoms into the ZnO NRs. An AsZn-2VZn shallow acceptor model is suggested by considering the formation energy of the interstitial point-defect complex for the modification of the electrical properties of ZnO NRs. A ZnO NR/n-Si heterojunction showed better rectifying behavior with increasing SOD treatment temperature, indicating better incorporation of As-dopants at higher SOD treatment temperatures. A piezoelectric nanogenerator was fabricated as a device application of the electrical-property-modified ZnO NRs. The nanogenerator showed enhanced piezoelectric output potential after doping due to the elimination of the screening effect by free charge carriers in the ZnO NRs.

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